Form 5500 · Employee benefit plan · FREMONT, CA
FICTIV
FICTIV's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is SEQUOIA BENEFITS & INS SERVICES LLC. Coverage is written through BLUE CROSS OF CALIFORNIA and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-3528130 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health | 261 | December | $98,862 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 180 | December | $47,634 |
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 43 | December | $14,543 |
| ANTHEM LIFE INSURANCE COMPANY | Life | 178 | December | $2,813 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII | Health | 5 | December | $1,423 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO. | Life | 161 | March | $1,024 |
Questions
Who is FICTIV's benefits broker?
Per its most recent Form 5500 Schedule A, FICTIV's broker of record is SEQUOIA BENEFITS & INS SERVICES LLC.
What insurance carrier does FICTIV use?
FICTIV's benefit plan is written through BLUE CROSS OF CALIFORNIA, among 6 disclosed carriers.
When does FICTIV's group plan renew?
The most recent Schedule A policy period for FICTIV ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FICTIV's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.